| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $129.47 | $2,877.00 | $4,933.00 | |
BCBS
| Facility | $486.48 | $570.99 | $773.60 | |
Health Alliance Plan
| Facility | $107.95 | $2,877.00 | $4,933.00 | |
United
| Facility | $300.00 | $1,418.00 | $2,029.00 |